Individual
JANA SHIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17606 COSHOCTON RD, MOUNT VERNON, OH 43050-9218
(740) 397-7563
Mailing address
17606 COSHOCTON RD, MOUNT VERNON, OH 43050-9218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C2496
OH
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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